Motivational Factors Influencing Retention of Village Health Workers in Rural Communities of Bhutan

Village health workers (VHWs) are the first contact extending vital health services to unreached and underserved communities in Bhutan. VHWs truly embody the principles of primary health care and are effective catalysts in promoting community health. This study identifies and confirms factors motiva...

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Veröffentlicht in:Asia-Pacific journal of public health 2019-07, Vol.31 (5), p.433-442
Hauptverfasser: Tshering, Dolley, Tejativaddhana, Phudit, Siripornpibul, Taweesak, Cruickshank, Mary, Briggs, David
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container_end_page 442
container_issue 5
container_start_page 433
container_title Asia-Pacific journal of public health
container_volume 31
creator Tshering, Dolley
Tejativaddhana, Phudit
Siripornpibul, Taweesak
Cruickshank, Mary
Briggs, David
description Village health workers (VHWs) are the first contact extending vital health services to unreached and underserved communities in Bhutan. VHWs truly embody the principles of primary health care and are effective catalysts in promoting community health. This study identifies and confirms factors motivating VHWs to remain in the health care system. This is a quantitative study with a cross-sectional survey design. Two-stage cluster sampling was used with VHWs from 12 districts representing 3 regions of Bhutan. Data were collected using pretested semistructured questionnaires. Confirmatory factor analysis was used for data analysis. Findings reveal a 4-factor model of motivations among VHWs that includes social, personal, job related, and organizational factors. Among these, the social factor most significantly motivates VHWs to remain in the health care system. VHW motivation can be further fostered by providing a holistic combination of financial and nonfinancial incentives that recognize intrinsic needs and empower innate altruism.
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subjects Adult
Bhutan
Community Health Workers - psychology
Community Health Workers - statistics & numerical data
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Motivation
Personnel Loyalty
Primary Health Care - organization & administration
Rural Health Services - organization & administration
Surveys and Questionnaires
title Motivational Factors Influencing Retention of Village Health Workers in Rural Communities of Bhutan
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